Individual
DR. MARK T THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2933 MAPLEWOOD AVE, 4, WINSTON-SALEM, NC 27103-4001
(336) 765-0155
(336) 765-5494
Mailing address
7036 ORCHARD PATH DR, CLEMMONS, NC 27012-8222
(336) 766-6289
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983249
—
NC
Enumeration date
04/04/2006
Last updated
07/08/2007
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